Anna Petropoulos, MD, FRCS

Hello and thank you for your question! Yes, jumping back in after only a 2-week break could increase your risk of hitting a plateau faster. Your body needs time to fully respond to the first round of treatments — particularly the muscle-building and fat-reduction effects that continue to develop over several weeks post-treatment. Unless you’re on a tight timeline (like prepping for an event), waiting 6–8 weeks is usually the more effective strategy for long-term, visible results. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hello and thank you for your question! Sculptra can be a great option for you, especially if you’re concerned about filler migration. It stimulates your body’s own collagen over time, helping to naturally restore volume, enhance cheekbones, define the jawline, and subtly lift the face for a more refreshed look. To address the “angry” or downward expression, we can also use a small amount of Botox in the DAO (Depressor Anguli Oris) muscle. These muscles pull the corners of the mouth down, and relaxing them can help lift your expression and make you appear more approachable. Together, Sculptra and DAO Botox offer a natural-looking, long-term solution for facial rejuvenation without the heaviness or migration risks of traditional filler. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hello and thank you for your question! It’s very common to start noticing volume loss in the mid-face by your mid-30s, especially if you’ve always had a lean build. This loss in cheek volume can make features like nasolabial folds look deeper, even if the skin itself hasn’t changed much. For a natural-looking result, there are a few good options: 1. Cheek filler (like hyaluronic acid-based products) helps restore volume where it's been lost, which can subtly lift the mid-face and soften nasolabial folds indirectly. It's a great choice if you're looking for immediate results with minimal downtime. 2. Sculptra, a biostimulatory injectable, works gradually over several months to stimulate your own collagen production. It’s ideal if you want a more natural, gradual improvement and longer-lasting results (often 2+ years), though it may require multiple sessions. 3. Direct nasolabial fold filler is sometimes used, but it tends to be less effective alone if the folds are due to mid-face volume loss. It’s best used in combination with cheek support or for fine-tuning. From the photos you provided, I do not believe this option would be the solution. For lift and a natural look, starting with cheek (and temple!) enhancement—whether via filler or Sculptra—is often the most balanced, youthful approach. A consultation with a skilled injector can help tailor the choice to your facial structure and goals. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hello and thank you for your question! Yes, lipolysis for the double chin—whether via injectable deoxycholic acid (like Kybella or Belkyra) or devices like CoolSculpting or radiofrequency—is generally considered safe when performed by an experienced provider. It works by breaking down fat cells, which your body then clears naturally over a few weeks. Common side effects include swelling, bruising, numbness, and temporary firmness in the treated area. It does not interfere with chin or jawline filler, but timing is important. Ideally, complete your fat reduction treatments first, as swelling and tissue changes from lipolysis can affect how filler settles. Most practitioners recommend waiting at least 4 to 6 weeks after your last lipolysis session before getting filler to allow inflammation to resolve and see your final contour. Done in the right sequence, both treatments can complement each other well for a more defined jawline. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA

Hello and thank you for your question! This is a common concern, especially for men around age 50, as hormonal changes and a slower metabolism can make fat more stubborn—particularly around the abdomen. Even with a healthy body overall, localized belly fat can be resistant to diet and exercise alone. In your case, body contouring treatments like Emsculpt Neo and CoolSculpt Elite (cryolipolysis) can be great tools because they target fat without requiring major weight loss that could leave you looking "overly thin or unhealthy". These treatments work by breaking down fat cells in specific areas without affecting surrounding tissues. You’re not alone in this—many people use them to fine-tune areas that don’t respond to fitness efforts. A combination approach, along with giving your body recovery time between treatments, can offer the best results! Best of luck in your journey! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS Center for Classic Beauty Boston & Danvers, MA